Alarm Symptoms Often Do Not Result in Timely Diagnosis

Many evaluated for hematuria, hemoptysis, other conditions lack definite diagnoses after three years
By Andrea Mongler
HealthDay Reporter

FRIDAY, Aug. 14 (HealthDay News) -- Many patients who present with certain alarm symptoms, including hematuria and rectal bleeding, do not receive a diagnosis in a reasonable amount of time, according to a study published online Aug. 13 in BMJ.

Roger Jones, M.D., of the King's College London School of Medicine, and colleagues tracked 762,325 patients aged 15 years and older who presented to one of 128 general practitioner sites in the United Kingdom with their first episodes of hematuria, hemoptysis, dysphagia or rectal bleeding from 1994 to 2000.

The researchers found that the proportions of patients who received a cancer or non-cancer diagnosis within 90 days were 17.5 percent of women and 18.3 percent of men who had presented with hematuria, 25.7 and 24 percent for hemoptysis, 17.2 and 22.6 percent for dysphagia, and 14.5 and 16.7 percent for rectal bleeding. After three years, more than three-fourths of patients presenting with rectal bleeding did not have a definite diagnosis. The figures were comparable for dysphagia (67 percent), hematuria (64 percent), and hemoptysis (46 percent). The authors estimated that for every four to seven patients evaluated for these four conditions, relevant diagnoses will be identified in one of them within 90 days.

"We believe that these data provide additional information to help clinicians manage patients presenting with symptoms suggestive of serious disease," Jones and colleagues conclude.

Full Text

Copyright © 2009 ScoutNews, LLC. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95

The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95

Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95

More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.

Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.

Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.

More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events